Dr Jennica Laine-formisano, PSYD - Psychologist in Kingston, NY

Dr Jennica Laine-formisano, PSYD is a Psychologist - Clinical based in Kingston, New York. Dr Jennica Laine-formisano is licensed to practice in New York (license number 021267-1) and her current practice location is 260 Kings Mall Ct # 331, Kingston, New York. She can be reached at her office (for appointments etc.) via phone at (845) 489-3687.

NPI number for Dr Jennica Laine-formisano is 1346587862 and her current mailing address is 148 Burt St, Saugerties, New York. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346587862.

Contact Information

Dr Jennica Laine-formisano, PSYD
260 Kings Mall Ct # 331,
Kingston, NY 12401-1574
(845) 489-3687
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jennica Laine-formisano
GenderFemale
SpecialityPsychologist - Clinical
Location260 Kings Mall Ct # 331, Kingston, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346587862
  • Provider Enumeration Date: 01/04/2013
  • Last Update Date: 05/07/2021

Medical Identifiers

Medical identifiers for Dr Jennica Laine-formisano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346587862NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 021267-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennica Laine-formisano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennica Laine-formisano, PSYD
148 Burt St,
Saugerties, NY 12477-1907

Ph: (845) 489-3687
Dr Jennica Laine-formisano, PSYD
260 Kings Mall Ct # 331,
Kingston, NY 12401-1574

Ph: (845) 489-3687

Reviews and Comments


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